Active NPI
Elizabeth Moore Pearson, MAT, BCABA
- Behavior Analyst
- Columbia, SC
National Provider Identifier
1548627904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0-04-1371
- Practice address
- 3115 Sunset Blvd
Columbia, SC 29205-1856 - Phone
- (803) 791-3222
- Fax
- (803) 905-4431
- NPI assigned
- Jan 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0-04-1371 | SC | Primary |
Addresses
Primary practice location
3115 Sunset Blvd
Columbia, SC 29205-1856
Mailing address
PO Box 51322
Bowling Green, KY 42102-5622
Phone (270) 777-9283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458259200000",
"number": "1548627904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51322",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421025622",
"telephone_number": "270-777-9283",
"fax_number": "270-777-9283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3115 SUNSET BLVD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292051856",
"telephone_number": "803-791-3222",
"fax_number": "803-905-4431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "ELIZABETH",
"middle_name": "MOORE",
"name_prefix": "Mrs.",
"credential": "MAT, BCABA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-15",
"last_updated": "2016-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "SC",
"license": "0-04-1371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.